David, I am glad I found your website and posts. Thanks for your post!

Betty
sounds like your moving in the right direction. Be wary of getting locked into a cycle of repeated manipulation over an extended period of time (months). It should be used to achieve optimal alignment together with structural correction as necessary. PS if you don’t have a congenital leg length difference (most people over 20 know if they have a true shortening in one leg) then be cautious with shoe inserts because the leg length difference is secondary to spinal alignment.
Doing general exercise is fine (if not provocative) but not a specific solution to the problem. Analysis of trunk muscle control, hip and pelvic control and walking pattern are all necessary. The is called muscle imbalance assessment and usually requires specific identification of effected muscles with corrective rehabilitation exercises. This is not repeat not the same as general exercise, core stability, pilates, gym ball routines or core boards. These strategies will help in cases where people are grossly de-conditioned (so anything is better than nothing) but not as effective in an active population with specific biomechanical dysfunction.
As you may have gathered most of the discussion on this site is geared towards clinicians – hence more technical lingo but I’m all for empowerment so I hope you can now make informed decisions about your care.

Good Luck

David

It depends entirely on whether you have a true leg length difference or an apparent leg length difference. This requires some skilled analysis from the treating therapist but determines whether inserts into shoes are necessary to correct true structural differences (not ideal but sometimes necessary) or correction is achieved using manual therapy of the Lumbar spine / pelvis.

David

One leg is longer than the other and pelvis is tipped. What treatment should I expect.

Hip pain has persisted for a long time. Dr. diagnosis, one leg is 20mm longer than the other, and the pelvis is tipped. What treatment should I be expecting. Have been doing PT which includes stretching, along with continual motion: biking, aquatic jogging and minimal walking. Often feel relief after jacuzzi and water exercise. Chiropractor treatments over the past 2 weeks have shown some improvement in the symptoms, (pain on inner hip area and back hip area) however, any new input is welcome. Chiropractor is doing adjustments to the tipped hip and tail bone area, Gradual lift in shoe, has been added to the shorter leg, but still have pain after a weekend of activity,(biking 5 miles and walking another 3-4 miles).

Maria

Richard donTingy, Diane Lee, Andre Vleeming would be the most prolific writers on this topic. Their book publications tend to be more clinical than the journal papers. Mark Laslett from the McKenzie institute in New Zealand has published alot on differentiation of lumbar spine / SI also. Philip Greenman US Osteopath has also written well on this topic.

David

Looking forward to read your lying-seting test post!Do you have any articles about pelvic dusfunctions to follow on your current post?
Regards